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Sapacitabine, Arm A

Phase 3

Acute Myeloid Leukemia | Small molecule | Oncology |Cyclacel Pharmaceuticals, Inc.|Last Updated: Jun 4, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment587
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01303796A Study of Oral Sapacitabine in Elderly Patients With Newly Diagnosed Acute Myeloid LeukemiaPHASE3 COMPLETED 482Oct 1, 2011Jul 31, 2017Jun 22, 2022118 United States, Austria +10
NCT00590187Efficacy Study of Oral Sapacitabine to Treat Acute Myeloid Leukemia in Elderly PatientsPHASE2 COMPLETED 105Dec 1, 2007Dec 1, 2018Jun 4, 202415 United States
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Study Endpoints
Primary Endpoints
Overall Survival
up to 43 months

The distribution of overall survival was estimated by the method of Kaplan and Meier. A log-rank analysis stratified by randomization stratification factors was used to compare overall survival between Arm A (decitabine/sapacitabine) versus Arm C (decitabine). Cox proportional hazards models were used to identify predictive factors for overall survival.

Survival
up to 12 months from date of randomization

Percentage of patients alive for one year measured from the date of randomization

Secondary Endpoints
Complete Remission (CR)
up to 43 months
Complete Remission With Incomplete Platelet Count Recovery (CRp)
up to 43 months
Partial Remission (PR)
up to 43 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sapacitabine-decitabine alternatingEXPERIMENTALArm A sapacitabine administered in alternating cycles with decitabine
DecitabineACTIVE_COMPARATORArm C Decitabine
A sapacitabineEXPERIMENTAL200 mg b.i.d. x 7 days every 3-4 weeks
B sapacitabineEXPERIMENTAL300 mg b.i.d. x 7 days every 3 - 4 weeks
C sapacitabineEXPERIMENTAL400 mg b.i.d. x 3 days/week x 2 weeks every 3 - 4 weeks
D sapacitabineEXPERIMENTAL200 mg b.i.d. x 7 consecutive days every 4 weeks
E sapacitabineEXPERIMENTAL300 mg q.d. x 7 consecutive days every 4 weeks
F sapacitabineEXPERIMENTAL300 mg b.i.d. x 3 consecutive days per week for 2 weeks every 4 weeks
G sapacitabineEXPERIMENTAL200 mg b.i.d. x 7 consecutive days every 4 weeks
H sapacitabineEXPERIMENTAL300 mg q.d. x 7 consecutive days every 4 weeks
I sapacitabineEXPERIMENTAL100 mg q.d. x 5 consecutive days per week for 2 weeks every 4 weeks
Interventions
NameTypeDescription
SapacitabineDRUGOral sapacitabine capsules
DecitabineDRUGDecitabine intravenous
Sapacitabine, Arm ADRUG200 mg b.i.d. x 7 days every 3-4 weeks
Sapacitabine, Arm BDRUG300 mg b.i.d. x 7 days every 3 - 4 weeks
Sapacitabine, Arm CDRUG400 mg b.i.d. x 3 days/week x 2 weeks every 3 - 4 weeks
Sapacitabine, Arm DDRUG200 mg b.i.d. x 7 consecutive days every 4 weeks
sapacitabine, Arm EDRUG300 mg q.d. x 7 consecutive days every 4 weeks
sapacitabine, Arm FDRUG300 mg b.i.d. x 3 consecutive days per week for 2 weeks every 4 weeks
Sapacitabine, Arm GDRUG200 mg b.i.d. x 7 consecutive days every 4 weeks
Sapacitabine, Arm HDRUG300 mg q.d. x 7 consecutive days every 4 weeks
Sapacitabine, Arm IDRUG100 mg q.d. x 5 consecutive days per week for 2 weeks every 4 weeks
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Eligibility Criteria
Age Range70 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites118

Inclusion Criteria: * Newly diagnosed AML based on WHO (World Health Organization) classification * Age 70 years or older for whom the treatment of choice is low-intensity therapy by investigator assessment or who has refused intensive induction therapy recommended by investigator * ECOG (Eastern C...

Countries:United StatesAustriaBelgiumFranceGermanyHungaryItalyPolandSpainSwedenSwitzerlandUnited Kingdom
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